| NPI | 1386886851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 35.099050) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.099050) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2024-11-19 |