| NPI | 1316197296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A126991) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.121397) |
| 208M00000X Hospitalist (Licence: CA A126991) | |
| 208M00000X Hospitalist (Licence: OH 35.121397) | |
| 261QU0200X Clinic/Center, Urgent Care (Licence: OH 35.121.397) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2022-02-17 |