| NPI | 1497118244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.013752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.013752) |
| 207R00000X Internal Medicine (Licence: MS 0000000) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2021-04-21 |