| NPI | 1851529119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME150282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036129265) |
| 208M00000X Hospitalist (Licence: IL 036129265) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-10-19 |