| NPI | 1972036556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD30247) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0063691) |
| 207R00000X Internal Medicine (Licence: ME MD30247) | |
| 208M00000X Hospitalist (Licence: IN 01090222A) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2026-03-05 |