| NPI | 1144658162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 55868) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.023726) |
| 207R00000X Internal Medicine (Licence: IN 01087626A) | |
| 207R00000X Internal Medicine (Licence: KY 55868) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 35.127366) | |
| 208M00000X Hospitalist (Licence: IN 01087626A) | |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2023-12-19 |