| NPI | 1134491483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME159754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-7773) |
| 208M00000X Hospitalist (Licence: OH 35.133464) | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2023-08-17 |