| NPI | 1821366618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.120238) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.120238) |
| 207R00000X Internal Medicine (Licence: OH 35.120238) | |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2021-03-23 |