| NPI | 1245282722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.062552) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35062552) |
| 207R00000X Internal Medicine (Licence: OH 35.062552) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2017-05-25 |