| NPI | 1427377589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME121484) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2013-00266) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2014-12-04 |