| NPI | 1073590394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35066921) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OH 35-066921) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-02-27 |