| NPI | 1295049260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0379) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME DO2389) |
| 207R00000X Internal Medicine (Licence: ME DO2389) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2024-05-23 |