| NPI | 1033537105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME146191) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME146191) |
| 208000000X Pediatrics (Licence: FL ME146191) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2024-02-26 |