NPI | 1144351149 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.137497) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G81088) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2020-11-19 |