| NPI | 1598096679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME157634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 70462) |
| 207R00000X Internal Medicine (Licence: MI 4301097702) | |
| 208M00000X Hospitalist (Licence: MI 4301097702) | |
| 208M00000X Hospitalist (Licence: WI 70462) | |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2022-11-17 |