| NPI | 1730341082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34010167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.010167) |
| 207R00000X Internal Medicine (Licence: SC 1518) | |
| 208M00000X Hospitalist (Licence: SC 1518) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2019-02-21 |