| NPI | 1205210341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME153562) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME153562) |
| 208M00000X Hospitalist (Licence: IL 036154247) | |
| 207R00000X Internal Medicine (Licence: MI 4301117494) | |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2023-10-20 |