| NPI | 1245612084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 20637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME149652) |
| 207R00000X Internal Medicine (Licence: MI 4301107109) | |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2024-07-17 |