| NPI | 1972532810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.082672) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35.082672) |
| 208M00000X Hospitalist (Licence: OH 35.082672) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2025-08-25 |