| NPI | 1417185703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-051790) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: OH 35-051790) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35-051790) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |