| NPI | 1922095645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35097039) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 200401558) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2023-07-11 |