| NPI | 1245211887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME79297) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME79297) |
| 208M00000X Hospitalist (Licence: FL ME79297) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-03-02 |