| NPI | 1538283627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: OH 35-078217) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: OH 35-078217) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-09-14 |