NPI | 1801389226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME151723) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME151723) |
207R00000X Internal Medicine (Licence: SC LL52477) | |
208M00000X Hospitalist (Licence: FL ME151723) | |
Enumeration Date | 2018-06-11 |
Last Update Date | 2023-09-20 |