| NPI | 1083060404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101266118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.134882) |
| 208M00000X Hospitalist (Licence: OH 35.134882) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2022-06-15 |