| NPI | 1316436272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME145725) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 021873) |
| 208M00000X Hospitalist (Licence: PR 21873) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2022-09-30 |