| NPI | 1417108077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60912164) |
| 208M00000X Hospitalist (Licence: FL ME108137) | |
| 208M00000X Hospitalist (Licence: WA MD60912164) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2023-04-28 |