| NPI | 1871930016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 266467) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-255613) |
| 208M00000X Hospitalist (Licence: MA 266467) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2022-07-21 |