| NPI | 1265433734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME84322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME84322) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME84322) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2021-03-25 |