| NPI | 1114337847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME137120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104966) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2018-11-07 |