| NPI | 1285861443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME117752) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2012-01393) |
| 208M00000X Hospitalist (Licence: FL ME117752) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2023-04-12 |