| NPI | 1003335670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 1022041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD23403) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2025-04-21 |