| NPI | 1497846935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.087712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.087712) |
| 208M00000X Hospitalist (Licence: IL 036120513) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-04-06 |