| NPI | 1912296815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.120476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35120476) |
| 208000000X Pediatrics (Licence: OH 35120476) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2018-09-05 |