| NPI | 1821316456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD449030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.126657) |
| 208M00000X Hospitalist (Licence: OH 35.126657) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2025-05-13 |