| NPI | 1073752036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2011-0811) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101250064) |
| 208M00000X Hospitalist (Licence: ME MD18942) | |
| 208M00000X Hospitalist (Licence: NM MD2011-0811) | |
| 207R00000X Internal Medicine (Licence: VA 0101250064) | |
| 207R00000X Internal Medicine (Licence: ME MD18942) | |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2013-02-12 |