| NPI | 1417237819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME129348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME129348) |
| 208M00000X Hospitalist (Licence: SD 9166) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2024-04-05 |