| NPI | 1912905845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34-007069) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 34007069) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2014-07-17 |