| NPI | 1144427824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D79260) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 091738) |
| 207R00000X Internal Medicine (Licence: WI 50171) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2018-06-29 |