| NPI | 1245761089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U3171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35144661) |
| 208M00000X Hospitalist (Licence: IN 01083854A) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-03-08 |