| NPI | 1881884997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301090770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35096242) |
| 208M00000X Hospitalist (Licence: OH 35096242) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2023-09-06 |