| NPI | 1225088131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35058533) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35058533) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-05-23 |