| NPI | 1154594356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MI 4301103931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.091319) |
| 207R00000X Internal Medicine (Licence: MI 4301103931) | |
| 208M00000X Hospitalist (Licence: MI 4301103931) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2015-06-10 |