NPI | 1770986465 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35130899) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35130899) |
Enumeration Date | 2014-10-08 |
Last Update Date | 2020-09-21 |