| NPI | 1225073539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35.089144) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.089144) |
| 208D00000X General Practice (Licence: OH 35089144) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-01-09 |