| NPI | 1538312228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.096488) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 44158) |
| 207R00000X Internal Medicine (Licence: OH 35.096488) | |
| 208M00000X Hospitalist (Licence: KY 44158) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2023-05-05 |