| NPI | 1366726077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101255339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME134626) |
| 208M00000X Hospitalist (Licence: FL ME134626) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2019-06-28 |