| NPI | 1366739773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME124693) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036132729) |
| 208M00000X Hospitalist (Licence: FL ME124693) | |
| 208M00000X Hospitalist (Licence: IL 036132729) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2023-01-12 |