| NPI | 1134560709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME155538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103936) |
| 207R00000X Internal Medicine (Licence: IL 036140831) | |
| 208M00000X Hospitalist (Licence: IL 036.140831) | |
| 208M00000X Hospitalist (Licence: FL ME155538) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2023-01-25 |