| NPI | 1659877991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.141542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T1129) |
| 207R00000X Internal Medicine (Licence: OH 35.141542) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-05-05 |