NPI | 1508444217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY TP407) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.150612) |
208M00000X Hospitalist (Licence: KY TP407) | |
Enumeration Date | 2021-04-01 |
Last Update Date | 2025-07-31 |