| NPI | 1740775980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS T-3522) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 34.015232) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2024-01-11 |