| NPI | 1700830189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OH 35.058701) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35058701A) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-09-11 |