| NPI | 1528416351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 307762-01) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME139054) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2023-09-15 |