| NPI | 1407081987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME116970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP282) |
| 208M00000X Hospitalist (Licence: KY 51085) | |
| 208M00000X Hospitalist (Licence: IN 01081493A) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2023-09-05 |