| NPI | 1518427657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 291608) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2024-01347) |
| 207R00000X Internal Medicine (Licence: NC 2024-01347) | |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2025-09-22 |