| NPI | 1427156421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME61655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 46575) |
| 208M00000X Hospitalist (Licence: KY 46575) | |
| 208M00000X Hospitalist (Licence: FL ME0061655) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-12 |