| NPI | 1902225121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 294696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME137177) |
| 208M00000X Hospitalist (Licence: NH 19965) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-11-12 |