| NPI | 1598184608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME132111) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 85097) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2020-05-22 |