| NPI | 1669635694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 248773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 16426) |
| 208M00000X Hospitalist (Licence: MA 248773) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 16426) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 236938) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2021-01-29 |