| NPI | 1992876569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME154208) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 230136) |
| 208M00000X Hospitalist (Licence: MA 230136) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2023-04-05 |