| NPI | 1316338957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME121305) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2017038284) |
| 207R00000X Internal Medicine (Licence: MO 2017038284) | |
| 207R00000X Internal Medicine (Licence: FL ME 121305) | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2021-09-27 |