| NPI | 1427461607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 269023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259168) |
| 207R00000X Internal Medicine (Licence: MA 269023) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-06-23 |