| NPI | 1477867174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME149085) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097214) |
| 207R00000X Internal Medicine (Licence: FL ME149085) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2022-01-06 |