| NPI | 1427037910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 044082) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 044082) |
| 208M00000X Hospitalist (Licence: FL ME130523) | |
| 208M00000X Hospitalist (Licence: LA 337980) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2024-05-17 |