| NPI | 1649257718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME89166) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: FL ME 89166) |
| 207R00000X Internal Medicine (Licence: FL ME89166) | |
| 208M00000X Hospitalist (Licence: FL ME89166) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2018-02-16 |