| NPI | 1528244357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.092140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.092140) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.092140) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2011-06-12 |