| NPI | 1497721849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD17008) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME 017008) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2023-06-27 |