| NPI | 1538595863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 29720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.127483) |
| 207R00000X Internal Medicine (Licence: OH 57022668) | |
| 208M00000X Hospitalist (Licence: IA MD-50510) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-12-21 |