| NPI | 1134644941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME158651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 158651) |
| 207R00000X Internal Medicine (Licence: FL 158651) | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2023-11-02 |