| NPI | 1396109161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.151197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019024528) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MT225222) | |
| 208M00000X Hospitalist (Licence: MO 2019024528) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2024-07-19 |