| NPI | 1275829855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME120214) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME120214) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2025-09-23 |