| NPI | 1235661117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-05827) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME DO3038) |
| 208M00000X Hospitalist (Licence: ME DO3038) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2021-06-29 |