| NPI | 1972009967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME162408) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A176700) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2024-07-10 |