| NPI | 1760496228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35087430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 058260) |
| 207R00000X Internal Medicine (Licence: SC 29588) | |
| 208M00000X Hospitalist (Licence: MS 19741) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-05-09 |