| NPI | 1902966690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.074531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.074531) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: OH 35-07-4531-P) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2025-04-01 |