| NPI | 1578801056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MD D0096055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME1510605) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: WV 27584) | |
| 208M00000X Hospitalist (Licence: FL ME151605) | |
| 282N00000X General Acute Care Hospital (Licence: FL ME151605) | |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2024-02-01 |