| NPI | 1538145958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME 017725) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 23390) |
| 207R00000X Internal Medicine (Licence: MA 227154) | |
| 208M00000X Hospitalist (Licence: ME 017725) | |
| Enumeration Date | 2005-12-17 |
| Last Update Date | 2013-02-05 |