| NPI | 1487071957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.012922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02004775A) |
| 207R00000X Internal Medicine (Licence: OH 34.012922) | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2023-05-05 |