| NPI | 1619120300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 44686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-014474) |
| 208M00000X Hospitalist (Licence: TX P7320) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2015-10-06 |