| NPI | 1821484296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD22828) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 18801) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2019-06-17 |