| NPI | 1972777217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C154128) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.097811) |
| 208M00000X Hospitalist (Licence: OH 35.097811) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2019-04-19 |