| NPI | 1730458092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D90014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD15234) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D90014) | |
| 208M00000X Hospitalist (Licence: MD D90014) | |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2022-04-28 |