| NPI | 1619968864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2008-01666) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-048486) |
| 207R00000X Internal Medicine (Licence: NC 2008-01666) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2023-08-31 |