| NPI | 1780883983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 239842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 239842) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2013-09-27 |