| NPI | 1497174783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152215) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 296733) |
| 208M00000X Hospitalist (Licence: FL ME152215) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-08-27 |