| NPI | 1073548269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-073827) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 173905) |
| 208M00000X Hospitalist (Licence: OH 35.073827) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-11-12 |