| NPI | 1205051570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.092037) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5203) |
| 207R00000X Internal Medicine (Licence: OH 35.092037) | |
| 208M00000X Hospitalist (Licence: MN 59642) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-07-26 |