| NPI | 1265738637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 17310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266624) |
| 208M00000X Hospitalist (Licence: FL ME120708) | |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2022-03-24 |