| NPI | 1114283066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.011120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.011120) |
| 208M00000X Hospitalist (Licence: IN 02004932A) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2022-07-21 |