| NPI | 1144759424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME145179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03958) |
| 207R00000X Internal Medicine (Licence: FL ME145179) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-01-24 |