| NPI | 1871014324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME155615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101268054) |
| 208M00000X Hospitalist (Licence: MO 2020019616) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-08-08 |