| NPI | 1356785026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 82963) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.128734) |
| 208M00000X Hospitalist (Licence: OH 35128734) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2021-07-22 |