| NPI | 1962906172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35.156648) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.156648) |
| 207R00000X Internal Medicine (Licence: OH 35.156648) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CT 1.079481) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2026-07-01 |