| NPI | 1659827921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.135216) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301109954) |
| 207R00000X Internal Medicine (Licence: GA 92785) | |
| 208M00000X Hospitalist (Licence: SC 88100) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2023-09-11 |