| NPI | 1003965385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35080473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 37870) |
| 208M00000X Hospitalist (Licence: OH 35-080473) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-10-26 |