| NPI | 1861685034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME100498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101241950) |
| 208M00000X Hospitalist (Licence: VA 0101241950) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2023-04-07 |