| NPI | 1922290832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS13986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34009771) |
| 207R00000X Internal Medicine (Licence: FL OS13986) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2021-03-25 |