| NPI | 1104196591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.124055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.124055) |
| 208M00000X Hospitalist (Licence: OH 35124055) | |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2024-09-30 |