| NPI | 1235261827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD22370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2007-00008) |
| 207R00000X Internal Medicine (Licence: ME TD171105) | |
| 208M00000X Hospitalist (Licence: OR MD184500) | |
| 208M00000X Hospitalist (Licence: NC 2007-00008) | |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2021-07-22 |