| NPI | 1508865858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.037464) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.037464) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 35-037464) | |
| 208M00000X Hospitalist (Licence: OH 35037464) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2023-03-24 |