| NPI | 1265958326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME148938) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY P06149) |
| 207R00000X Internal Medicine (Licence: FL ME148938) | |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2025-10-02 |