| NPI | 1912189986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35093998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.093998) |
| 208M00000X Hospitalist (Licence: OH 35.093998) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2014-07-16 |