| NPI | 1841453958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.142113) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 30999) |
| 208M00000X Hospitalist (Licence: MO 2008016537) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2021-11-23 |