| NPI | 1861720377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME111715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01081329A) |
| 207R00000X Internal Medicine (Licence: FL ME111715) | |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2022-03-22 |