| NPI | 1295742476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: FL ME97641) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME 97641) |
| 207R00000X Internal Medicine (Licence: FL ME97641) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-02-24 |