| NPI | 1134566508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.129540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458571) |
| 207R00000X Internal Medicine (Licence: OH 35.129540) | |
| Enumeration Date | 2013-05-25 |
| Last Update Date | 2017-08-10 |