| NPI | 1154682458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD20579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD20579) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2025-05-01 |