| NPI | 1841530649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME129797) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2016-0243) |
| 208M00000X Hospitalist (Licence: NM MD2016-0243) | |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2023-07-11 |