| NPI | 1982076816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME137223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT210048) |
| 208M00000X Hospitalist (Licence: FL ME137223) | |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2023-06-05 |