| NPI | 1104075035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-138611) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C187627) |
| 208M00000X Hospitalist (Licence: ME 017939) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2023-07-17 |