| NPI | 1033104385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35087895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD065602L) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2008-04-02 |