| NPI | 1144255282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35127554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 26547) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-08-12 |