| NPI | 1376711044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.090121) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35090121) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2023-03-24 |