| NPI | 1467682948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OH 35095632) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35095632) |
| 207R00000X Internal Medicine (Licence: OH 35095632) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2024-03-06 |