| NPI | 1558356535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35045941B) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.045941) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2024-11-11 |