| NPI | 1306299813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 295360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2021-00035) |
| 208M00000X Hospitalist (Licence: MA 295360) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2023-03-14 |