| NPI | 1891882346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-087707) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35-087707) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: OH 35.087707) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2017-04-19 |