| NPI | 1780812867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2015-02406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME111437) |
| 207R00000X Internal Medicine (Licence: NC 2015-02406) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2023-07-10 |