NPI | 1477831287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.013582) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 02004374A) |
208M00000X Hospitalist (Licence: WI 81801) | |
Enumeration Date | 2011-07-27 |
Last Update Date | 2025-05-21 |