| NPI | 1043659550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.014342) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 34.014342) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-12-20 |