| NPI | 1598007130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C193309) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.136678) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2024-08-06 |