| NPI | 1831149442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 233720) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 14718) |
| 208M00000X Hospitalist (Licence: MA 233720) | |
| 207R00000X Internal Medicine (Licence: KS 0432027) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-03-17 |