| NPI | 1417390923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C193866) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.120816) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2025-03-05 |