| NPI | 1316303332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.148495) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.148495) |
| 207R00000X Internal Medicine (Licence: OH 35.148495) | |
| 208M00000X Hospitalist (Licence: CT 55752) | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2025-03-21 |