| NPI | 1356793871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH APRN.CNP.019413) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 320894) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2024-05-25 |