| NPI | 1578512356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.010253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 142507) |
| 207R00000X Internal Medicine (Licence: FL OS09395) | |
| 207R00000X Internal Medicine (Licence: OH 32.010253) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-07-31 |