PROVIDER PROFILE · NPI 1104453166

NPI 1104453166

MEDICARE UTILIZATION · PART B · 2024

No data available for this provider in 2024.

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$1K

Travel and Lodging$566

Education$120

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

Hospital

Hospital

CROSS-REFERENCE