| NPI | 1568651073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2021-01005) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME 117253) |
| 207R00000X Internal Medicine (Licence: FL ME117253) | |
| 208000000X Pediatrics (Licence: FL ME117253) | |
| Enumeration Date | 2007-10-20 |
| Last Update Date | 2021-06-30 |