| NPI | 1336137595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist Family Health (Licence: OH F09200497) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35-054353) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2022-11-10 |