| NPI | 1356391338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME84745) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME84745) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-10-22 |