| NPI | 1386393965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD29054) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME EC221016) |
| 207R00000X Internal Medicine (Licence: ME MD29054) | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-07-09 |