| NPI | 1841284809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.008099) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34008099) |
| 208000000X Pediatrics (Licence: OH 34008099) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2019-02-19 |