| NPI | 1033219076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME104656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY KY39237) |
| 208M00000X Hospitalist (Licence: FL ME 104656) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2022-01-14 |