| NPI | 1477656734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 148379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 20901) |
| 207R00000X Internal Medicine (Licence: OH 35067979P) | |
| 208M00000X Hospitalist (Licence: NH 20901) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2025-07-02 |