| NPI | 1326206897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME139244) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 068243) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036-117456) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL 29408) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2026-04-28 |