| NPI | 1568481356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-43462) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA D29594) |
| 207R00000X Internal Medicine (Licence: FL ME116577) | |
| 207R00000X Internal Medicine (Licence: GA 19386) | |
| 208M00000X Hospitalist (Licence: PA MD034685L) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-03-07 |