| NPI | 1144647413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.012943) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 34.012943) |
| 207R00000X Internal Medicine (Licence: PA OS023273) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2024-01-23 |