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 |