NPI | 1144501594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 57.019044) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.123014) |
208M00000X Hospitalist (Licence: OH 57.019044) | |
Enumeration Date | 2011-08-30 |
Last Update Date | 2025-04-06 |