| NPI | 1417344086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 274806) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA MK1156276G) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-02-09 |