| NPI | 1932660560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01093615A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.145673) |
| 208M00000X Hospitalist (Licence: OH 35.145673) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-06-24 |