| NPI | 1144553553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.132685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 9071A) |
| 208M00000X Hospitalist (Licence: WY 9071A) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2023-05-05 |