NPI | 1285296715 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.149143) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073914) |
Enumeration Date | 2019-07-04 |
Last Update Date | 2024-04-01 |