| NPI | 1972889236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A159032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57020280) |
| 207R00000X Internal Medicine (Licence: CA A159032) | |
| 208M00000X Hospitalist (Licence: OH 35.123009) | |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2022-05-26 |