| NPI | 1518341544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.133168) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107527) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2021-04-28 |