| NPI | 1265750236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301111730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-121659) |
| 207R00000X Internal Medicine (Licence: MI 4301111730) | |
| 207R00000X Internal Medicine (Licence: IN 01091153A) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2023-07-28 |