| NPI | 1043522634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: OH 34-010716) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.010716) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2021-02-03 |