| NPI | 1174181663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 34.018561) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 94-12104) |
| 207R00000X Internal Medicine (Licence: IA DO-06019) | |
| 208M00000X Hospitalist (Licence: IA DO-06019) | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2026-08-06 |