| NPI | 1194981308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35.125915) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.125915) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2016-01-20 |