| NPI | 1942249594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 38339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35077989) |
| 207R00000X Internal Medicine (Licence: KY 38339) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-03-22 |