| NPI | 1306134721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD197490) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD197490) |
| 207R00000X Internal Medicine (Licence: ME MD23128) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OR MD197490) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OR MD197490) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2023-10-06 |