| NPI | 1093133621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME130421) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME130421) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2019-05-23 |