| NPI | 1497795959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME103164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301056594) |
| 207R00000X Internal Medicine (Licence: FL ME103164) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-07-05 |