| NPI | 1700828894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS007508L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS007508L) |
| 208M00000X Hospitalist (Licence: OH 34.0147778) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-10-16 |