| NPI | 1851605323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 77838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096241) |
| 208M00000X Hospitalist (Licence: ME MD19583) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2019-01-01 |