| NPI | 1093169997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME161847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 01012666668) |
| 208M00000X Hospitalist (Licence: VA 01012666668) | |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2023-08-28 |