| NPI | 1174802201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35136439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 136247) |
| 207R00000X Internal Medicine (Licence: OH 35136439) | |
| 207R00000X Internal Medicine (Licence: IN 01074247A) | |
| 207R00000X Internal Medicine (Licence: NE 6624) | |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2019-07-16 |