| NPI | 1194815431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35043284B) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35043284B) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH 35043284B) | |
| 208D00000X General Practice (Licence: OH 35043284B) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2017-10-16 |