| NPI | 1245244524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD16602) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME 0106602) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2012-04-09 |