| NPI | 1063908754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.149892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022044121) |
| 208M00000X Hospitalist (Licence: PA MD474564) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2024-05-24 |