| NPI | 1083690713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME118584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301078873) |
| 208M00000X Hospitalist (Licence: MI 4301078873) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2024-01-08 |