| NPI | 1003876202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 2622) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS004082L) |
| 207R00000X Internal Medicine (Licence: PA OS004082-L) | |
| 208M00000X Hospitalist (Licence: OH 34-002622) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-12-12 |