| NPI | 1508203209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.125383) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.125383) |
| 207R00000X Internal Medicine (Licence: NH 19488) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2020-08-17 |