| NPI | 1386187383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME161548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 288090) |
| 208M00000X Hospitalist (Licence: FL ME161548) | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2024-01-19 |