| NPI | 1902197692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-02112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.012198) |
| 208M00000X Hospitalist (Licence: NC 2018-02112) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2022-12-14 |