| NPI | 1932374469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME106984) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA 37876) |
| 208M00000X Hospitalist (Licence: FL ME106984) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2021-03-26 |