| NPI | 1902396526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.014273) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.014273) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2023-12-15 |