| NPI | 1578760666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME149831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-00911) |
| 208M00000X Hospitalist (Licence: ME 017478) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2021-08-24 |