| NPI | 1568451557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME82883) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME82883) |
| 208M00000X Hospitalist (Licence: FL ME82883) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2025-01-09 |