| NPI | 1518195437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME104784) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME104784) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2016-10-15 |