| NPI | 1326262320 |
|---|---|
| Former Name | JOLANTA BARBARA PERRY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0075433) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME0075433) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-05-02 |