NPI | 1043630163 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: ME DO2816) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: ME DO2816) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: ME DO2816) | |
Enumeration Date | 2014-04-17 |
Last Update Date | 2022-01-28 |