| NPI | 1851591358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME139259) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME139259) |
| 207R00000X Internal Medicine (Licence: AR E-8161) | |
| 207R00000X Internal Medicine (Licence: OK 27489) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2026-01-26 |