| NPI | 1043280563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.071648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.071648) |
| 207P00000X Emergency Medicine (Licence: OH 35-07-1648-O) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-10-09 |