| NPI | 1609258458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.164970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 3195-320) |
| 207R00000X Internal Medicine (Licence: IN 01079488A) | |
| 208M00000X Hospitalist (Licence: FL ME163523) | |
| 208M00000X Hospitalist (Licence: CA C192844) | |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2024-09-12 |