| NPI | 1417990854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: OH 35.120435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.120435) |
| 208M00000X Hospitalist (Licence: OH 35.120435) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2017-08-16 |