| NPI | 1609036375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01065671A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-090815) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2019-07-16 |