| NPI | 1568825552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD29471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.148071) |
| 207R00000X Internal Medicine (Licence: MA 279280) | |
| 207R00000X Internal Medicine (Licence: ME MD29471) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2025-06-24 |