| NPI | 1558500587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME113910) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME113910) |
| 207Q00000X Family Medicine (Licence: GA 79899) | |
| 208M00000X Hospitalist (Licence: TX P8055) | |
| 208M00000X Hospitalist (Licence: IN 01071271A) | |
| Enumeration Date | 2009-02-15 |
| Last Update Date | 2024-01-15 |