| NPI | 1760611263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.099707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL31865) |
| 207R00000X Internal Medicine (Licence: OH 35.099707) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2019-02-22 |