| NPI | 1174942072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.129388) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 35.129388) |
| 207R00000X Internal Medicine (Licence: OH 35.129388) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-07-29 |