| NPI | 1124282280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME149590) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME149590) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2025-07-11 |