| NPI | 1316136575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-01948) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.095736) |
| 208M00000X Hospitalist (Licence: NC 2013-01948) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2021-03-26 |