| NPI | 1396162426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME146807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 290510) |
| 207R00000X Internal Medicine (Licence: FL ME146807) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2020-10-07 |