| NPI | 1972815306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 261395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD14298) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2020-04-22 |