| NPI | 1538182381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME136690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M8300) |
| 207R00000X Internal Medicine (Licence: FL ME136690) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-01-16 |