| NPI | 1871817817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2016-00052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 51875) |
| 207R00000X Internal Medicine (Licence: NC 2016-00052) | |
| 208M00000X Hospitalist (Licence: IN 01083413A) | |
| 208M00000X Hospitalist (Licence: KY 51875) | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2020-03-04 |