| NPI | 1194900670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35093002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P2578) |
| 207R00000X Internal Medicine (Licence: OH 35-093002) | |
| 208M00000X Hospitalist (Licence: OH 35-093002) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2019-06-20 |