| NPI | 1073515268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301065237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.122636) |
| 208M00000X Hospitalist (Licence: MI 4301065237) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2023-06-30 |