| NPI | 1831489087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME120204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME120204) |
| 208M00000X Hospitalist (Licence: FL ME120204) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2025-08-08 |