| NPI | 1548407166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME147769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 49442) |
| 207R00000X Internal Medicine (Licence: VA 0101246898) | |
| 208M00000X Hospitalist (Licence: VA 0101246898) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2021-06-28 |