| NPI | 1003251026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 53364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.129531) |
| 207R00000X Internal Medicine (Licence: KY 53364) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2023-12-19 |