| NPI | 1437509080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME142702) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME142702) |
| 208000000X Pediatrics (Licence: PR 32311) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME142702) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2023-01-26 |