| NPI | 1235306739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 249852) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 249852) |
| 207Q00000X Family Medicine (Licence: FL ME102954) | |
| 207Q00000X Family Medicine (Licence: NY 249852) | |
| 208M00000X Hospitalist (Licence: FL ME102954) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2024-09-26 |