| NPI | 1710128657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME109063) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME109063) |
| 207R00000X Internal Medicine (Licence: IN 01066443A) | |
| 208M00000X Hospitalist (Licence: FL ME109063) | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2023-07-10 |