| NPI | 1326084716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME181280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240412) |
| 208M00000X Hospitalist (Licence: PA MD466204) | |
| 208M00000X Hospitalist (Licence: ME MD19318) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2026-08-13 |