| 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 |