| NPI | 1598883928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 059912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 059912) |
| 207R00000X Internal Medicine (Licence: OH 35.089439) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-08-17 |