| NPI | 1932465820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.127004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35127004) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2019-02-21 |