| NPI | 1659670107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 125745) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01071917A) |
| 207Q00000X Family Medicine (Licence: OH 125745) | |
| 207R00000X Internal Medicine (Licence: IN 01071917A) | |
| 207R00000X Internal Medicine (Licence: OH 125745) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2021-10-01 |