NPI | 1003918673 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME95430) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME95430) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2024-06-07 |