| NPI | 1609487040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01089508A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.249067) |
| 208M00000X Hospitalist (Licence: OH 35.146367) | |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2023-08-30 |