| NPI | 1619317831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.130898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102583) |
| 207R00000X Internal Medicine (Licence: OH 35.130898) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2019-02-19 |