| NPI | 1033371273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 108665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN12580) |
| 208M00000X Hospitalist (Licence: FL ME108665) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2020-09-22 |