| NPI | 1952628513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2015-02281) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 24113) |
| 207R00000X Internal Medicine (Licence: OH 35.094796) | |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2023-04-06 |