| NPI | 1316944317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME73903) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 73903) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2019-04-29 |