| NPI | 1033557731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35128722) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT-204088) |
| 208M00000X Hospitalist (Licence: OH 35.128722) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2022-07-19 |