| 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) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2022-01-25 |