| NPI | 1407302755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME144963) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME144963) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2023-12-10 |