| NPI | 1265882716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.141054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016017314) |
| 207R00000X Internal Medicine (Licence: NY 297552) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2021-04-30 |