| NPI | 1245547355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME109802) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME109802) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2014-08-26 |