| NPI | 1922394485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME128120) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 201401596) |
| 208M00000X Hospitalist (Licence: FL ME128120) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2023-02-07 |