| NPI | 1780930388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME165934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036135809) |
| 207R00000X Internal Medicine (Licence: OR MD208408) | |
| 208M00000X Hospitalist (Licence: NY 292957) | |
| 208M00000X Hospitalist (Licence: OR MD208408) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2024-05-06 |