| NPI | 1467773382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 245533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D82442) |
| 207R00000X Internal Medicine (Licence: MA 245533) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2023-12-11 |