| NPI | 1770513178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35093215) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35-093215) |
| 208M00000X Hospitalist (Licence: NY 002631) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2017-08-18 |