| NPI | 1659891109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.018329) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2020-03211) |
| 207R00000X Internal Medicine (Licence: NC 259586) | |
| 208M00000X Hospitalist (Licence: OH 34.018329) | |
| 207R00000X Internal Medicine (Licence: WV 4081) | |
| 208M00000X Hospitalist (Licence: WV 4081) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2026-01-07 |