| NPI | 1720240310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD28060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.096468) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2024-07-05 |