| NPI | 1760796775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012020695) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME MD25572) |
| 208M00000X Hospitalist (Licence: IL 036162483) | |
| 208M00000X Hospitalist (Licence: MO 2012020695) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2023-02-22 |