| NPI | 1437107034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.126007) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME79597) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-10-05 |