| NPI | 1629245733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME134768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 25325) |
| 208M00000X Hospitalist (Licence: NE 25325) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2018-06-08 |