NPI | 1396165163 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.145236) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01079462A) |
207R00000X Internal Medicine (Licence: WV 29593) | |
208M00000X Hospitalist (Licence: OH 35.145236) | |
Enumeration Date | 2014-04-21 |
Last Update Date | 2022-06-20 |