NPI | 1548506553 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME126684) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME126684) |
Enumeration Date | 2012-12-19 |
Last Update Date | 2025-08-29 |