| NPI | 1316924012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108304) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 200301040) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2023-03-07 |