| NPI | 1750510715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.098580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-057155) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2021-01-06 |