| NPI | 1710392485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY TP329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD22045) |
| 208M00000X Hospitalist (Licence: ME MD22045) | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2024-02-15 |