| NPI | 1104847144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.096533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 22383) |
| 208M00000X Hospitalist (Licence: OH 35096533) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2023-03-24 |