NPI | 1689696833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 45762) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 11631) |
208M00000X Hospitalist (Licence: FL ME45762) | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2018-03-17 |