| NPI | 1093962755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME137691) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME MD19323) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2018-11-07 |