| NPI | 1275859555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY C2559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.095175) |
| 208M00000X Hospitalist (Licence: OH 35.095175) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2024-04-17 |