| NPI | 1538375456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.129618) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.129618) |
| 208M00000X Hospitalist (Licence: OH 35.129618) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2021-03-23 |