| NPI | 1992957237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A117372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A117372) |
| 207R00000X Internal Medicine (Licence: OH 35.095851) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A117372) | |
| 208M00000X Hospitalist (Licence: OH 35.095851) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.095851) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2017-10-03 |