| NPI | 1871569665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.078607) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 057245) |
| 208M00000X Hospitalist (Licence: OH 35.078607) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2016-09-28 |