| NPI | 1821436445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 264799) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-256310) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2017-06-13 |