| NPI | 1427479310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME124103) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01077860A) |
| 208M00000X Hospitalist (Licence: FL ME124103) | |
| 208M00000X Hospitalist (Licence: IN 01077860A) | |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2018-04-24 |