| NPI | 1275809089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME160670) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35124001) |
| 208M00000X Hospitalist (Licence: OH 35.124001) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2024-02-07 |