| NPI | 1013146240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME140250) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2012-02002) |
| 208M00000X Hospitalist (Licence: FL ME140250) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2022-07-21 |