| NPI | 1548573173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 322730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.017554) |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2021-09-03 |