| NPI | 1750597019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.121585) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 246985) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-10-12 |