| NPI | 1285892455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME143824) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-128378) |
| 207R00000X Internal Medicine (Licence: IL 036-128378) | |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2021-10-21 |