| NPI | 1629017884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C159417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35087513) |
| 208M00000X Hospitalist (Licence: OH 35.087513) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-11-10 |