| NPI | 1033374822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME118540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 20319) |
| 208M00000X Hospitalist (Licence: MS 20319) | |
| 207R00000X Internal Medicine (Licence: FL ME118540) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2015-05-08 |