| NPI | 1235336819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME114016) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RTP 002363) |
| 207R00000X Internal Medicine (Licence: GA 065535) | |
| 208M00000X Hospitalist (Licence: FL ME114016) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2021-03-03 |