| NPI | 1720021306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OH 35.090022) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 51981351205) |
| 207R00000X Internal Medicine (Licence: OH 35090022) | |
| 208M00000X Hospitalist (Licence: OH 35.090022) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-09-30 |