| NPI | 1235517582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI FM0672285) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.132068) |
| 208M00000X Hospitalist (Licence: OH 35.132068) | |
| 207R00000X Internal Medicine (Licence: FL ME154928) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2026-03-17 |