| NPI | 1316175615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301095701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57012762) |
| 208M00000X Hospitalist (Licence: MI 4301095701) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2023-05-02 |