| NPI | 1346504123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME127494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT202866) |
| 207R00000X Internal Medicine (Licence: PA MD456335) | |
| 208M00000X Hospitalist (Licence: FL ME127494) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2023-11-18 |