| NPI | 1871578385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME142880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 31675) |
| 208M00000X Hospitalist (Licence: TN 31675) | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2021-10-11 |