| 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 |