| NPI | 1093990335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 3407968) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 0122) |
| 207R00000X Internal Medicine (Licence: PA OS015855) | |
| 207R00000X Internal Medicine (Licence: WV 0122) | |
| 208M00000X Hospitalist (Licence: PA OS015855) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2021-07-26 |