| NPI | 1366127631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME183027) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME183027) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2026-07-22 |