| NPI | 1447455159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.095618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086101) |
| 208M00000X Hospitalist (Licence: OH 35.095618) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2021-10-18 |