| NPI | 1790938488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD19277) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-015036) |
| 208M00000X Hospitalist (Licence: ME MD19277) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2012-10-08 |