| NPI | 1922256858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01088068A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 275579) |
| 207R00000X Internal Medicine (Licence: FL ME111062) | |
| 208M00000X Hospitalist (Licence: FL ME111062) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2023-01-20 |