NPI | 1144602285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101021767) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.01426) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2023-07-24 |