| NPI | 1942464391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME152885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 053038) |
| 207R00000X Internal Medicine (Licence: MD D72332) | |
| 208M00000X Hospitalist (Licence: CT 053038) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2022-05-18 |