| NPI | 1972954352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2021-01161) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57.028743) |
| 208M00000X Hospitalist (Licence: NC 2021-01161) | |
| 207R00000X Internal Medicine (Licence: OH 35.137121) | |
| 207R00000X Internal Medicine (Licence: NC 2021-01161) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2021-01161) | |
| 207P00000X Emergency Medicine (Licence: NC 2021-01161) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2024-01-23 |