NPI | 1659766442 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME141849) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME141849) |
208000000X Pediatrics (Licence: FL ME141849) | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2021-03-31 |