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 |