NPI | 1376048660 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME153286) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 89613) |
208M00000X Hospitalist (Licence: ME MD26557) | |
Enumeration Date | 2018-03-28 |
Last Update Date | 2023-01-23 |