| NPI | 1437160835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 137472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.076567) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-12-03 |