| NPI | 1154453793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME134606) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-00899) |
| 208M00000X Hospitalist (Licence: OR MD27322) | |
| 208M00000X Hospitalist (Licence: FL ME134606) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2023-03-19 |