| NPI | 1447556766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR0061662) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME109018) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2019-04-25 |