| NPI | 1073564555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME128092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35078106) |
| 208M00000X Hospitalist (Licence: OH 35078106) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-11-19 |