| NPI | 1881905198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME133489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271546) |
| 207R00000X Internal Medicine (Licence: FL ME133489) | |
| 207R00000X Internal Medicine (Licence: TX BP10037746) | |
| 208M00000X Hospitalist (Licence: NY 271546) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2024-08-13 |