| NPI | 1598116949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.150367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 29686) |
| 207R00000X Internal Medicine (Licence: OH 35.150367) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2024-05-07 |