| NPI | 1477932515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME133590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME133590) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 21391) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2023-03-09 |