| NPI | 1508212879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME146934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 21828) |
| 208M00000X Hospitalist (Licence: PR 21828) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2022-07-21 |