| NPI | 1801271234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 289372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.133265) |
| 208M00000X Hospitalist (Licence: OH 35.133265) | |
| 208M00000X Hospitalist (Licence: MA 289372) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2021-07-22 |