NPI | 1225077803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34008200) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34008200) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2020-03-11 |