| NPI | 1265747232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME118164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME118164) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2023-12-13 |