| NPI | 1902823867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.075548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-075548) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-03-23 |