| NPI | 1447267836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME120056) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2019-00753) |
| 207Q00000X Family Medicine (Licence: MI 4301074223) | |
| 208M00000X Hospitalist (Licence: MI 4301074223) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-04-24 |