| NPI | 1538401211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34011849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 00000000000) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2017-06-16 |