| NPI | 1619237971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2018-02972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-02972) |
| 207R00000X Internal Medicine (Licence: MD D0081736) | |
| 207R00000X Internal Medicine (Licence: IN 01083665A) | |
| 207R00000X Internal Medicine (Licence: ME MD27498) | |
| 208M00000X Hospitalist (Licence: ME MD27498) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2025-04-01 |