| NPI | 1518072446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 41777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35068213) |
| 207R00000X Internal Medicine (Licence: MI 4301507619) | |
| 208M00000X Hospitalist (Licence: AZ 41777) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-01-09 |