| NPI | 1710175583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35-094871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-094871) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2015-11-25 |