| NPI | 1245670686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.013264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.013264) |
| 207R00000X Internal Medicine (Licence: MI 5101020641) | |
| 208M00000X Hospitalist (Licence: MI 5101020641) | |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2019-02-25 |