| NPI | 1912977166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35053821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-05-3821) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2008-10-22 |