| NPI | 1053366021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NM MD2023-1366) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NM MD2023-1366) |
| 208M00000X Hospitalist (Licence: FL ME95736) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-05-12 |