| NPI | 1568877686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 271404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 41379) |
| 207R00000X Internal Medicine (Licence: MA 271404) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-02-21 |