| NPI | 1124632864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 1017505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D96200) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2024-03-06 |