| NPI | 1124184437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME101927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT185595) |
| 208M00000X Hospitalist (Licence: FL ME0101927) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-07-19 |