| NPI | 1275054900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME179480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112885) |
| 208M00000X Hospitalist (Licence: LA 324538) | |
| 207R00000X Internal Medicine (Licence: LA 324538) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2026-08-19 |