| NPI | 1144531518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 253414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD18209) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2023-11-02 |