NPI | 1699895128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-092555) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35-092555) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2016-09-12 |