| NPI | 1912291238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME119988) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME119988) |
| 208M00000X Hospitalist (Licence: FL ME119988) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2025-04-10 |