| NPI | 1861805855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 268956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-259154) |
| 208M00000X Hospitalist (Licence: MA 268956) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2018-03-17 |