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 |