| NPI | 1740405505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME 017527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.009175) |
| 207R00000X Internal Medicine (Licence: ME 017527) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2022-02-24 |