| NPI | 1235176686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34-008527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34008527) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2013-04-09 |