| NPI | 1295787877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-48019) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME0088941) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-08-01 |