| NPI | 1306955422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.074055) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35074055T) |
| 207R00000X Internal Medicine (Licence: OH 35.074055) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-03-29 |