| NPI | 1831138965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME114760) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 35218) |
| 208M00000X Hospitalist (Licence: NC 35218) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2022-08-12 |