| NPI | 1386208460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U4856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.248941) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-11-01 |