| NPI | 1871912477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141794) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A140697) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2023-03-17 |