| NPI | 1801988720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME127175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.202878) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-12-05 |