| NPI | 1467687590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME124402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.30762) |
| 207R00000X Internal Medicine (Licence: CA A125287) | |
| 207R00000X Internal Medicine (Licence: FL ME124402) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2024-08-01 |