| NPI | 1265729370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.133176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098729) |
| Enumeration Date | 2011-07-09 |
| Last Update Date | 2020-06-18 |