| NPI | 1144579327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME150365) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101252586) |
| 208M00000X Hospitalist (Licence: VA 0101252586) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2023-02-27 |