| NPI | 1700291473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301106115) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35C.001372) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35C.001372) | |
| 208M00000X Hospitalist (Licence: OH 35C.001372) | |
| 207R00000X Internal Medicine (Licence: OH 35C.001372) | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2024-12-09 |