| NPI | 1831194109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2008-01544) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-049020) |
| 208M00000X Hospitalist (Licence: OH 35049020) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2015-10-22 |