| NPI | 1346697323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID M-16994) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10057681) |
| 208M00000X Hospitalist (Licence: OH 35.136288) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2023-05-11 |