| NPI | 1447205174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 24001) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35081840L) |
| 207R00000X Internal Medicine (Licence: KY 37938) | |
| 207R00000X Internal Medicine (Licence: AZ 24001) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2015-09-29 |