| NPI | 1972501997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0447998) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 0447998) |
| 207R00000X Internal Medicine (Licence: OH 35077241C) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2024-10-17 |