| NPI | 1437141629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35069472) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35069472) |
| 208M00000X Hospitalist (Licence: OH 35069472) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2021-01-25 |