| NPI | 1932353356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME102800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me 102800) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2016-09-13 |