| NPI | 1538393541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME DO2294) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME 2294) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2013-09-06 |