| NPI | 1508821737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 40586) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 40586) |
| 207R00000X Internal Medicine (Licence: KY 40586) | |
| 208M00000X Hospitalist (Licence: IN 01086731A) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-03-17 |