| NPI | 1376510289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2018-02663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34008576) |
| 207R00000X Internal Medicine (Licence: SC 36173) | |
| 207R00000X Internal Medicine (Licence: NC 2018-02663) | |
| 208M00000X Hospitalist (Licence: SC 36173) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2022-11-15 |