| NPI | 1477052751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 65268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME162581) |
| 208M00000X Hospitalist (Licence: FL ME162581) | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2025-01-13 |