| NPI | 1316990864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME124895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101241450) |
| 208M00000X Hospitalist (Licence: VA ME124895) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-06-25 |