| NPI | 1215078696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-13070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.088965) |
| 208M00000X Hospitalist (Licence: ID M-13070) | |
| 208M00000X Hospitalist (Licence: FL ME98984) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2022-07-20 |