| NPI | 1770771792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 13462474-1235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35092793) |
| 208M00000X Hospitalist (Licence: OH 35092793) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2023-07-19 |