| NPI | 1598490476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 94548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.253385) |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2025-07-09 |