| NPI | 1609209600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01081671A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.022630) |
| 208M00000X Hospitalist (Licence: OR MD174768) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2022-12-27 |