| NPI | 1629363767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 258793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 258793) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2018-03-29 |