| NPI | 1922338185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108147) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053829) |
| 208M00000X Hospitalist (Licence: FL ME108147) | |
| Enumeration Date | 2010-01-10 |
| Last Update Date | 2021-07-22 |