| NPI | 1235387911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME141362) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17295) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 17295) | |
| 207R00000X Internal Medicine (Licence: PR 17295) | |
| 207R00000X Internal Medicine (Licence: FL ME141362) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2023-05-01 |