| NPI | 1326276247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.128748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01071114A) |
| 207R00000X Internal Medicine (Licence: OH 35.128748) | |
| 207R00000X Internal Medicine (Licence: MI 5315039475) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-02-21 |