NPI | 1346298569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-069549) |
Additional Taxonomies | 174400000X Specialist (Licence: OH 35-069549) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2021-02-03 |