| NPI | 1497976732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME130119) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 047573) |
| 207R00000X Internal Medicine (Licence: CT 047573) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-03-17 |