| NPI | 1942217468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD169437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME90723) |
| 208M00000X Hospitalist (Licence: FL ME90723) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-03-05 |