| NPI | 1417373499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D91758) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME146152) |
| 207R00000X Internal Medicine (Licence: MD D91758) | |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2021-09-13 |