| NPI | 1285692459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 38305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35083656) |
| 207R00000X Internal Medicine (Licence: KY 38305) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-04-10 |