| NPI | 1912272196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 47770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 282895) |
| 208M00000X Hospitalist (Licence: KY 47770) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2023-08-06 |