| NPI | 1205218948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 51706) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101264756) |
| 207R00000X Internal Medicine (Licence: OH 35.134035) | |
| 207R00000X Internal Medicine (Licence: MD D0084392) | |
| 207R00000X Internal Medicine (Licence: KY 51706) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2024-08-07 |