| NPI | 1932117678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD17185) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 017185) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-02-22 |