| NPI | 1235125261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.146219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01056726A) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2024-04-24 |