| NPI | 1508867409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME81166) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME81166) |
| 207R00000X Internal Medicine (Licence: VA 0101248479) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2026-01-05 |