| NPI | 1841208212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME 114486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-079031) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-02-11 |