| NPI | 1205943388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: ME 2052) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 2052) |
| 208M00000X Hospitalist (Licence: ME 2052) | |
| 207P00000X Emergency Medicine (Licence: ME 2052) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2012-10-16 |