| NPI | 1336349315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 201501893) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 062380) |
| 207R00000X Internal Medicine (Licence: OH 35.097672) | |
| 208M00000X Hospitalist (Licence: OH 35.097672) | |
| 208M00000X Hospitalist (Licence: NC 201501893) | |
| 208000000X Pediatrics (Licence: NC 201501893) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2016-07-06 |