| NPI | 1326401647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY C3946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35C.000001) |
| 207R00000X Internal Medicine (Licence: GA 82043) | |
| 208M00000X Hospitalist (Licence: GA 82043) | |
| 208M00000X Hospitalist (Licence: IN 01096642A) | |
| 208M00000X Hospitalist (Licence: OH 35C.000001) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2025-08-18 |