| NPI | 1760010136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.146514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.146514) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.146514) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-02-12 |