| NPI | 1275829004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 36912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 36912) |
| 207R00000X Internal Medicine (Licence: FL ME164828) | |
| 208M00000X Hospitalist (Licence: FL ME164828) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2023-10-24 |