| NPI | 1245464130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME118407) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME118407) |
| 207R00000X Internal Medicine (Licence: GA 068451) | |
| 208M00000X Hospitalist (Licence: GA 068451) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2018-10-31 |