| NPI | 1154771368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.138530) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 1908 R 75796) |
| 207Q00000X Family Medicine (Licence: OH 35138530) | |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2024-03-22 |