| NPI | 1285845933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 22187) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01069191A) |
| 208M00000X Hospitalist (Licence: FL ME107818) | |
| 208M00000X Hospitalist (Licence: MO 2010011912) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-10-06 |