| NPI | 1710203161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME148060) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036130841) |
| 207R00000X Internal Medicine (Licence: IN 01082975A) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2024-08-19 |