| NPI | 1356737308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME170543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME170543) |
| 207R00000X Internal Medicine (Licence: IL 036145978) | |
| 208M00000X Hospitalist (Licence: IL 036145978) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2025-03-07 |