| NPI | 1124227582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME139888) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 45942) |
| 208M00000X Hospitalist (Licence: FL ME139888) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-09-10 |