| NPI | 1023578630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 1013960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 330646) |
| 207R00000X Internal Medicine (Licence: MA 1013960) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MA 1013960) | |
| 208M00000X Hospitalist (Licence: LA 330646) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-06-21 |