| NPI | 1346472230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P7316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-01567) |
| 207R00000X Internal Medicine (Licence: OH 57.015930) | |
| 208M00000X Hospitalist (Licence: NC 2012-01567) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2024-03-20 |