| NPI | 1902257868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 279098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268730) |
| 208M00000X Hospitalist (Licence: MA 279098) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2022-03-21 |