| NPI | 1518372713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.131108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 72483) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-02-28 |