| NPI | 1497879555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35076552R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.076552) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2015-05-29 |