| NPI | 1386085314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME0133297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 133297) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2023-10-05 |