| NPI | 1235260464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.098468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36114548) |
| 207R00000X Internal Medicine (Licence: OH 35.098468) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-11-16 |