| NPI | 1457667875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.135931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057062) |
| 208M00000X Hospitalist (Licence: OH 35.135931) | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2022-01-25 |