| NPI | 1336529437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME133747) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN21477) |
| 208M00000X Hospitalist (Licence: FL ME133747) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2019-04-16 |