| NPI | 1275598666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35120443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 22178) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WV 22178) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2017-07-13 |