| NPI | 1275923906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285010) |
| 207R00000X Internal Medicine (Licence: OH 35.136641) | |
| 208M00000X Hospitalist (Licence: OH 35.136641) | |
| 208M00000X Hospitalist (Licence: NY 285010) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2022-03-15 |