| NPI | 1497248587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.142761) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 2195060457) |
| 207R00000X Internal Medicine (Licence: MI 4301115424) | |
| 207R00000X Internal Medicine (Licence: OH 35.142761) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2021-08-04 |