| NPI | 1548383086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD28142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME92326) |
| 207R00000X Internal Medicine (Licence: MD D0077416) | |
| 208M00000X Hospitalist (Licence: FL ME92326) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2022-10-28 |