NPI | 1306585518 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD29225) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD29225) |
207R00000X Internal Medicine (Licence: MA 293751) | |
Enumeration Date | 2022-06-04 |
Last Update Date | 2025-07-07 |