| NPI | 1275568230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 51227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 51227) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 51227) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-09-11 |