| NPI | 1518981455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35 088379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-088379) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35-088379) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-05-05 |