| NPI | 1538548706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 285310) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 52447) |
| 207R00000X Internal Medicine (Licence: PA MD453664) | |
| 208M00000X Hospitalist (Licence: WV 27379) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2024-01-22 |