| NPI | 1639600695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: OH 34.013887) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 0000000000) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 34.013887) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2021-09-01 |