| NPI | 1245328020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME112430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD151148) |
| 207R00000X Internal Medicine (Licence: FL ME112430) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-11-16 |