| NPI | 1609164136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 080617) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35. 126068) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2018-06-21 |