NPI | 1063876001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME138342) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME138342) |
207R00000X Internal Medicine (Licence: FL ME138342) | |
Enumeration Date | 2016-04-06 |
Last Update Date | 2022-08-11 |