| NPI | 1588828933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME131082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME131082) |
| 207R00000X Internal Medicine (Licence: OH 35.097993) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2025-10-16 |