| NPI | 1821048588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 89002) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME89002) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-06-17 |