| NPI | 1891930749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME109471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME109471) |
| Enumeration Date | 2008-12-06 |
| Last Update Date | 2017-04-24 |