| 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 |