| NPI | 1821020918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35098274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 21955) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 35.098274) | |
| 208M00000X Hospitalist (Licence: WV 21955) | |
| 208M00000X Hospitalist (Licence: OH 35098274) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-04-04 |