| NPI | 1275720104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 14748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 231049) |
| 207R00000X Internal Medicine (Licence: NH 14748) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2021-05-20 |