| NPI | 1295155869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD28599) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL MD.49146) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2024-09-13 |