| NPI | 1033747092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.016278) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.016278) |
| 207R00000X Internal Medicine (Licence: MI Student) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-01-25 |