| NPI | 1851706360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 18286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259287) |
| 208M00000X Hospitalist (Licence: NH 18286) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-07-21 |