| NPI | 1922007111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.065651) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35065651) |
| 207R00000X Internal Medicine (Licence: OH 35065651) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2023-03-24 |