| NPI | 1114337425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.130722) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.130722) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2021-10-01 |