| NPI | 1427171081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 41064) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 41064) |
| 208M00000X Hospitalist (Licence: IN 01062732A) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-01-05 |