NPI | 1841546025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.126442) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.126442) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2021-07-15 |