| NPI | 1457921009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 1020126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 289404) |
| 208M00000X Hospitalist (Licence: MA 208M00000X) | |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2024-06-17 |