| NPI | 1184917098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133994) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452286) |
| 208M00000X Hospitalist (Licence: FL ME133994) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2022-10-03 |