| NPI | 1821091224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 15630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME102064) |
| 208M00000X Hospitalist (Licence: FL ME102064) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2016-05-02 |