| NPI | 1124137393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200900297) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 200900297) |
| 208M00000X Hospitalist (Licence: OH 35-086996) | |
| 208M00000X Hospitalist (Licence: NY 312264) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-08-18 |