| NPI | 1225561863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SD 14222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.014249) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-08-23 |