| NPI | 1265691364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.123560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008014651) |
| 207R00000X Internal Medicine (Licence: OH 35123560) | |
| 208M00000X Hospitalist (Licence: MO 2008014651) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2018-08-17 |