| NPI | 1689109738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141576) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL me141576) |
| 208M00000X Hospitalist (Licence: FL ME141576) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2022-12-20 |