| NPI | 1083235444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD29211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 91160) |
| 207Q00000X Family Medicine (Licence: ME MD29211) | |
| 208M00000X Hospitalist (Licence: SC MMD.91160) | |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2025-08-01 |