| NPI | 1144548785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 005426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.003262) |
| 208M00000X Hospitalist (Licence: OH 58.003262) | |
| 207R00000X Internal Medicine (Licence: AZ 005426) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2018-03-06 |