| NPI | 1053506931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME104319) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME104319) |
| 208M00000X Hospitalist (Licence: FL ME104319) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2019-06-21 |