| NPI | 1548209133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 042-0016350) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME 10455) |
| 207Q00000X Family Medicine (Licence: ME 10455) | |
| 208M00000X Hospitalist (Licence: NH 14211) | |
| 208M00000X Hospitalist (Licence: ME 10455) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-02-13 |