| NPI | 1518062298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.075327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.075327) |
| 207R00000X Internal Medicine (Licence: MI 4301067429) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301067429) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35.075327) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-12-16 |