| NPI | 1043565971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME124661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101191) |
| 207R00000X Internal Medicine (Licence: FL ME124661) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2022-07-21 |