| NPI | 1932490059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 290165) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME MD18765) |
| 207R00000X Internal Medicine (Licence: ME MD18765) | |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2021-01-15 |