| NPI | 1073044186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 141889) |
| 208M00000X Hospitalist (Licence: FL ME141889) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-04-02 |