| NPI | 1619317054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.127767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35127767) |
| 208M00000X Hospitalist (Licence: OH 35127767) | |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2026-06-09 |