| NPI | 1053754838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.012227) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5151013681) |
| 208M00000X Hospitalist (Licence: OH 34.012227) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2022-07-21 |