| NPI | 1164959128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME146650) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL MD.41739) |
| Enumeration Date | 2017-05-21 |
| Last Update Date | 2023-01-19 |