| NPI | 1558727917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.128963) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.128963) |
| 207R00000X Internal Medicine (Licence: MO 2020010537) | |
| 208M00000X Hospitalist (Licence: MO 2020010537) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2020-08-19 |