| NPI | 1447345335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME122527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101239055) |
| 208M00000X Hospitalist (Licence: FL ME122527) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-12-01 |