| NPI | 1093134306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD21585) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: ME MD21585) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-07-19 |