| NPI | 1881221307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 81830) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME160849) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2026-05-26 |