| NPI | 1205908324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.131680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101240628) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-03-21 |