| NPI | 1861989345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL FL-ME155561) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL FL-ME155561) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2026-03-03 |