| NPI | 1164477618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME59864) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME59864) |
| 208M00000X Hospitalist (Licence: FL ME59864) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-05-23 |