| NPI | 1083118780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME156445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME156445) |
| 207R00000X Internal Medicine (Licence: MO 2021034821) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-06-25 |