| NPI | 1134243272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.080718) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35080718) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2021-08-06 |