| NPI | 1740669845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.134179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022045087) |
| 208M00000X Hospitalist (Licence: MO 2022045087) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2023-08-24 |