| NPI | 1679593057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME0077635) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME77635) |
| 208M00000X Hospitalist (Licence: FL ME77635) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2017-05-25 |