| NPI | 1851418107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-124981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087856) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301087856) | |
| 208M00000X Hospitalist (Licence: MI 4301087856) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2014-09-19 |