| NPI | 1134413370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.43663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 258954) |
| 207R00000X Internal Medicine (Licence: AL 43663) | |
| 207R00000X Internal Medicine (Licence: FL ME126112) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2024-08-28 |