| NPI | 1104453943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME158055) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL me158055) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-09-14 |