| NPI | 1720492234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME130092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 30669) |
| 208M00000X Hospitalist (Licence: FL ME130092) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2021-04-20 |