| NPI | 1548794761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO CDRH.0064856) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME DO3725) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2025-04-10 |