| NPI | 1316243868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P6942) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 262381) |
| 207R00000X Internal Medicine (Licence: TX P6942) | |
| 207R00000X Internal Medicine (Licence: OH 35.098914) | |
| 208M00000X Hospitalist (Licence: OH 35.098914) | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2020-11-17 |