| NPI | 1083877575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME114308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 242781) |
| 208M00000X Hospitalist (Licence: ID M-14299) | |
| 208M00000X Hospitalist (Licence: FL ME114308) | |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2025-09-12 |