| NPI | 1093754848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME43498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0043498) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2021-03-30 |