| NPI | 1194758391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME0084954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME84954) |
| 208M00000X Hospitalist (Licence: FL ME84954) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2017-08-03 |