| NPI | 1659502433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35-098603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-098603) |
| 207R00000X Internal Medicine (Licence: KY 48246) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2018-04-26 |