| NPI | 1184692238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME16184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 31953) |
| 207R00000X Internal Medicine (Licence: FL ME16184) | |
| 207R00000X Internal Medicine (Licence: OH 35-067214) | |
| 207R00000X Internal Medicine (Licence: IN 01051276A) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-09-06 |