| NPI | 1598798589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01085302A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35095548) |
| 207R00000X Internal Medicine (Licence: MD d0061719) | |
| 208M00000X Hospitalist (Licence: OH 35095548) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-12-15 |