| NPI | 1831177302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35073826) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.073826) |
| 207Q00000X Family Medicine (Licence: OH 35073826) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2025-10-24 |