| NPI | 1053808113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME147089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 311586) |
| 208M00000X Hospitalist (Licence: FL ME147089) | |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2024-05-08 |