| NPI | 1649777103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 1020708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1020708) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-06-19 |