| NPI | 1790969319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD433668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.134997) |
| 207R00000X Internal Medicine (Licence: KY TP985) | |
| 208M00000X Hospitalist (Licence: OH 35.134997) | |
| 208M00000X Hospitalist (Licence: KY TP985) | |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2018-10-09 |