| NPI | 1477878932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.120965) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35.120965) |
| 207R00000X Internal Medicine (Licence: OH 35.120965) | |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2025-06-13 |