| NPI | 1669541512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 34296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME90143) |
| 207R00000X Internal Medicine (Licence: SC 34296) | |
| 207R00000X Internal Medicine (Licence: GA 054827) | |
| 208M00000X Hospitalist (Licence: FL ME90143) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2021-09-20 |