| NPI | 1073995981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME154683) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 6898) |
| 208M00000X Hospitalist (Licence: PA MD465356) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2023-04-19 |