| NPI | 1336427434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.127541) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35127541) |
| 208M00000X Hospitalist (Licence: WI 60093-20) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2019-02-22 |