| NPI | 1114937646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C155922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35083555) |
| 208M00000X Hospitalist (Licence: OH 35083555) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2018-08-01 |