| NPI | 1124319272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.011270) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 34.011270) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2022-03-24 |