| NPI | 1780145219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME161079) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 56719) |
| 208M00000X Hospitalist (Licence: FL ME161079) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-06-24 |