| NPI | 1164787297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 297681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.143196) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2022-01-24 |