| NPI | 1053931170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.147159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076113) |
| 207R00000X Internal Medicine (Licence: OH 35.147159) | |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2023-07-03 |