| NPI | 1992934277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.121032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 250620) |
| 207R00000X Internal Medicine (Licence: OH 35.121032) | |
| 208M00000X Hospitalist (Licence: MA 250620) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2019-02-21 |