| NPI | 1285801019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 44177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-012744) |
| 208M00000X Hospitalist (Licence: AZ 44177) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2020-03-19 |