| NPI | 1396735791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301091427) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 79716) |
| 208M00000X Hospitalist (Licence: MA 79716) | |
| 208M00000X Hospitalist (Licence: MI 4301091427) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2023-06-06 |