| NPI | 1346701026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME169421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301509533) |
| 208M00000X Hospitalist (Licence: MI 4301509533) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-08-29 |