| NPI | 1801050356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME125998) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME125998) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-03-29 |