| NPI | 1750341293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 059369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 059369) |
| 207R00000X Internal Medicine (Licence: OH 35087398) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2026-02-19 |