| NPI | 1467034850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 78885) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 1021060) |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2025-04-30 |