NPI | 1760605190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME127395) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME127395) |
208M00000X Hospitalist (Licence: ME 017390) | |
207R00000X Internal Medicine (Licence: ME 017390) | |
Enumeration Date | 2007-04-11 |
Last Update Date | 2019-11-13 |