| NPI | 1326568643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.016008) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 34.016008) |
| 208M00000X Hospitalist (Licence: OH 34.016008) | |
| 208000000X Pediatrics (Licence: OH 34.016008) | |
| 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: OH 34.016008) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2026-03-17 |