| NPI | 1528158458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME118202) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2003018088) |
| 208M00000X Hospitalist (Licence: FL ME118202) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-07-21 |