| NPI | 1699279323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35144583) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35144583) |
| 207R00000X Internal Medicine (Licence: OH 35144583) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2022-05-18 |