| NPI | 1467802835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL Me140030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211998) |
| 208M00000X Hospitalist (Licence: FL ME140030) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2024-03-26 |