| NPI | 1053364232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME92699) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME0092699) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-04-09 |