| NPI | 1689677544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34-00-7147-C) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 02005184A) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2017-10-30 |