| NPI | 1215174537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME136389) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME136389) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2021-05-26 |