NPI | 1760476709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: OH 35077854K) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.077854) |
Enumeration Date | 2005-09-06 |
Last Update Date | 2025-04-30 |