NPI | 1790970697 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME149458) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: ME MD25284) |
208M00000X Hospitalist (Licence: MT 29510) | |
Enumeration Date | 2007-09-13 |
Last Update Date | 2025-07-29 |