| NPI | 1346694312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO3610) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME DO3610) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2024-09-26 |