| NPI | 1588726053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 298587) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 238843) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-09-17 |