| NPI | 1568774800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.136718) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301097072) |
| 207R00000X Internal Medicine (Licence: MI 4301097072) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2022-06-09 |