| NPI | 1942994496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME180964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME180964) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2026-08-28 |