| NPI | 1386183705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME149889) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.138795) |
| 207R00000X Internal Medicine (Licence: OH 35.138795) | |
| 207R00000X Internal Medicine (Licence: FL ME149889) | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2025-12-10 |