| NPI | 1316225774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME121883) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2016037407) |
| 208M00000X Hospitalist (Licence: FL ME121883) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2020-02-28 |