| NPI | 1801282447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME175960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64103) |
| 208M00000X Hospitalist (Licence: MN 64103) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2025-09-29 |