| NPI | 1871755199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 34.009689) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.009689) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2024-07-09 |