| NPI | 1881739431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 58765) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35088410) |
| 208M00000X Hospitalist (Licence: OH 35088410) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-04-15 |