| NPI | 1356738249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME DO3148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274614) |
| 208M00000X Hospitalist (Licence: MA 274614) | |
| Enumeration Date | 2015-04-19 |
| Last Update Date | 2021-01-26 |