| NPI | 1457538316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 36530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-90090) |
| 209800000X Legal Medicine (Licence: SC 36530) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2021-01-26 |