| NPI | 1538515143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME143307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.136551) |
| 207R00000X Internal Medicine (Licence: MI 4301109516) | |
| 207R00000X Internal Medicine (Licence: FL ME143307) | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2022-10-17 |