| NPI | 1427214485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME113577) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL me113577) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2017-09-21 |