NPI | 1184668253 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: OH 35-06-8415) |
Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: WV 18824) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2020-12-29 |