| NPI | 1013985290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-070894) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01060102A) |
| 207R00000X Internal Medicine (Licence: NY 196524) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-11-17 |