| NPI | 1508145251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME123013) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME123013) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2025-08-13 |