| NPI | 1710240155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 265099) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252816) |
| 208M00000X Hospitalist (Licence: MA 252816) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2021-05-24 |