| NPI | 1831490432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME126338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME126338) |
| 208M00000X Hospitalist (Licence: AL ME126338) | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2022-01-05 |