| NPI | 1902193428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME DO2595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02008285A) |
| 207R00000X Internal Medicine (Licence: ME DO2595) | |
| 208M00000X Hospitalist (Licence: NH T-0721) | |
| 207R00000X Internal Medicine (Licence: WA OP61681139) | |
| 208M00000X Hospitalist (Licence: NH 16726) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2025-12-16 |