| NPI | 1467816892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.139045) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.028612) |
| 208M00000X Hospitalist (Licence: OH 35.139045) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2022-04-25 |