| NPI | 1841686003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102206122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.013242) |
| 208M00000X Hospitalist (Licence: VA 0102206122) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2020-07-17 |