| NPI | 1659727162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.136988) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.136988) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2019-07-10 |