| NPI | 1366517591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.088445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.088445) |
| 207R00000X Internal Medicine (Licence: IN 01061750A) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2022-12-07 |