| NPI | 1447612262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-14610) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID M-14610) |
| 208M00000X Hospitalist (Licence: OH 35.141988) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-11-03 |