| NPI | 1124336540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.143794) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301117395) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2024-07-15 |