| NPI | 1326274473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 127733) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 003433) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301106644) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2016-04-25 |