| NPI | 1730112715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME104754) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME 104754) |
| 207R00000X Internal Medicine (Licence: MA 227704) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME 104754) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-04-26 |