| NPI | 1740556752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D79019) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME135416) |
| 208M00000X Hospitalist (Licence: MD D79019) | |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2024-02-07 |