| NPI | 1295197366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME139998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY C1218) |
| 208M00000X Hospitalist (Licence: ME md26651) | |
| 208M00000X Hospitalist (Licence: KY C1218) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-01-26 |