| NPI | 1396789889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME128099) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 17997) |
| 208M00000X Hospitalist (Licence: FL ME128099) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-03-02 |