| NPI | 1326543414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 288843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 288843) |
| 207R00000X Internal Medicine (Licence: LA 330647) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-04-03 |