| NPI | 1184638025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME95523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI ME95523) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-04-30 |