| NPI | 1083243133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.147838) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.147838) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-02-26 |