NPI | 1285883934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35096467) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57-014629) |
Enumeration Date | 2008-09-17 |
Last Update Date | 2011-10-25 |