| NPI | 1952351694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME0013579) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME0013579) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-07-31 |