| NPI | 1790836997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME97298) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME97298) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2023-03-11 |