| NPI | 1093866147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35-06-9908-M) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35-06-9908-M) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-02-03 |