| NPI | 1275568131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME129880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 024916) |
| 207R00000X Internal Medicine (Licence: FL ME129880) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-07-03 |