| NPI | 1780068585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: RI MD17293) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 294551) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2021-07-19 |