| NPI | 1730446931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01077901A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.126081) |
| 207R00000X Internal Medicine (Licence: KY 50091) | |
| 207R00000X Internal Medicine (Licence: KY TP556) | |
| 208M00000X Hospitalist (Licence: IN 01077901A) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2017-08-29 |