| NPI | 1144644642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME124403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 124403) |
| 208M00000X Hospitalist (Licence: FL ME124403) | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2022-08-29 |