| NPI | 1831471499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME129970) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME129970) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2025-08-01 |