| NPI | 1457514051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35127664) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO MO2009010251) |
| 207R00000X Internal Medicine (Licence: MO 2009010251) | |
| 208M00000X Hospitalist (Licence: MA 257095) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2026-10-20 |