| NPI | 1609850049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35.085408) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-08-5408) |
| 208M00000X Hospitalist (Licence: OH 35.085408) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2022-01-05 |