| NPI | 1578874830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL UO2570) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34-010849) |
| 208M00000X Hospitalist (Licence: OH 34-010849) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2015-07-31 |