| NPI | 1750377784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME97803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME97803) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01058275) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2024-07-29 |