| NPI | 1881625622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME145356) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 37251) |
| 207R00000X Internal Medicine (Licence: IN 01030924A) | |
| 208M00000X Hospitalist (Licence: KY 37251) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-02-28 |