| NPI | 1447889001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 113253) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 1015972) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2026-06-16 |