| NPI | 1427357847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MS 22957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.018098) |
| 207R00000X Internal Medicine (Licence: MS 22957) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2022-05-31 |