| NPI | 1821331471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME132732) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME132732) |
| 208M00000X Hospitalist (Licence: FL ME132732) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2022-05-24 |