| NPI | 1972708451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME99075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME99075) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2019-10-02 |