| NPI | 1689863409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.009590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OTO11699) |
| 207R00000X Internal Medicine (Licence: OH 34009590) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2019-02-22 |