| NPI | 1124561592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020006793) |
| 208M00000X Hospitalist (Licence: MO 2020006793) | |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2024-02-08 |