| NPI | 1033375084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.123947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01068024A) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2021-07-27 |