| NPI | 1023661022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 57.248169) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.248169) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2022-11-07 |