| NPI | 1457663304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME118341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096829) |
| 207R00000X Internal Medicine (Licence: FL ME118341) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2021-03-29 |