| NPI | 1942866736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD482151) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME MD27380) |
| 207R00000X Internal Medicine (Licence: GA 91218) | |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2023-12-15 |