| NPI | 1972717304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C184067) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.090174) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2026-01-23 |