NPI | 1316303332 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.148495) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.148495) |
207R00000X Internal Medicine (Licence: OH 35.148495) | |
208M00000X Hospitalist (Licence: CT 55752) | |
Enumeration Date | 2016-01-06 |
Last Update Date | 2025-03-21 |