| NPI | 1619359288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME136283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015019699) |
| 208M00000X Hospitalist (Licence: GU MTL-2024-024) | |
| 208M00000X Hospitalist (Licence: GU M-2458) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-11-20 |