| NPI | 1578996468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME148616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 51912) |
| 208M00000X Hospitalist (Licence: FL ME148616) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2024-03-27 |