| NPI | 1053874966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.148506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.148506) |
| 207R00000X Internal Medicine (Licence: MD d94586) | |
| 208M00000X Hospitalist (Licence: MD D94586) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-07-28 |