| NPI | 1730530007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD22666) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME MD22666) |
| 207Q00000X Family Medicine (Licence: ME MD22666) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2021-10-08 |