| NPI | 1215972161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME96259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 44050-020) |
| 208M00000X Hospitalist (Licence: FL ME96259) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2019-10-25 |