| NPI | 1841239837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME89529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 11897) |
| 207R00000X Internal Medicine (Licence: AK 6911) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: MA 46196) | |
| 208M00000X Hospitalist (Licence: FL ME89529) | |
| 208M00000X Hospitalist (Licence: WA MD60197734) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2022-08-27 |